R. Paul Adams
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Adams R.; Risk Factors for Infective Endocarditis. Ann Intern Med. 1999;131:154. doi: 10.7326/0003-4819-131-2-199907200-00017
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Published: Ann Intern Med. 1999;131(2):154.
TO THE EDITOR:
While driving into work, I heard about Strom and colleagues' study (1) on the radio. I am hereby responding on behalf of my fellow mitral valve prolapse sufferers.
I'm an active 65-year-old man who was diagnosed with a mitral valve prolapse some 18 years ago. My cardiologist was not especially concerned with this condition, other than to recommend that I take precautionary measures before a dental procedure. My dentist was even less impressed but agreed to go along with my taking antibiotics, although he really didn't think it was necessary. On the morning of 26 March 1987, I was in a hurry and late for my dental appointment. I neglected to take the oral medication before the visit to my dentist. He wrote a prescription afterward, which I had filled and took immediately after leaving his office. Within 24 hours, I had chills and a fever. I called my primary physician, who, knowing of my condition, admitted me to a local hospital. I spent the entire month of March 1987 in the hospital, taking massive doses of antibiotics six times a day. When my infectious diseases physician pronounced me well and able to rejoin the world, she chastised me for my neglect and told me that before future dental procedures, I should follow the procedures she had written down.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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